DEPARTMENT OF DEFENSE SECURITY AGREEMENT

ICR 198706-0704-007

OMB: 0704-0194

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165259 Migrated
ICR Details
0704-0194 198706-0704-007
Historical Active 198703-0704-003
DOD/DODDEP
DEPARTMENT OF DEFENSE SECURITY AGREEMENT
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/10/1987
Approved with change 06/10/1987
Retrieve Notice of Action (NOA) 06/10/1987
  Inventory as of this Action Requested Previously Approved
04/30/1990 04/30/1990 04/30/1990
660 0 660
318 0 318
0 0 0

DD FORM 441 IS A LEGALLY BINDING CONTRACTUAL DOCUMENT WHICH OBLIGATES THE CONTRACTOR TO ADHERE TO THE SECURITY REQUIREMENTS OUTLINED IN DOD 5220.22-M. THESE REQUIREMENTS ARE ESSENTIAL TO PRESERVE AND MAINTAIN THE SECURITY OF THE UNITED STATES THROUGH THE PREVENTION OF IMPROPER DISCLOSURE OF CLASSIFIED INFORMATION.

None
None


No

1
IC Title Form No. Form Name
DEPARTMENT OF DEFENSE SECURITY AGREEMENT DD 441, 441-1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 660 660 0 0 0 0
Annual Time Burden (Hours) 318 318 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/10/1987


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